Hip Resurfacing - Birmingham Hip Resurfacing (BHR)

Birmingham Hip Resurfacing or Surface Replacement Arthroplasty is a bone-conserving
alternative to conventional Total Hip Replacement (THR). Unlike Total Hip Replacement,
Birmingham hip Resurfacing does not involve the removal of the femoral head and
neck nor removal of bone from the femur. Rather, the head, neck and
femur bone is preserved in an effort to facilitate future surgery
should it be necessary and to enable the patient to take advantage of
newer technology or treatments in the future. The current generation
of hip Resurfacing devices utilize a metal bearings have demonstrated
a much higher level of wear resistance as well as reduced bone loss
and inflammatory tissue reaction about the hip joint as compared to
metal-polyethylene bearings. Derrek McMinn designed the Birmingham Hip Resurfacing in Birmingham, England and released it for use in the UK in 1997.

Hip Resurfacing Belgium - Doctors

Hip Resurfacing Belgium - General Schedule

DAY 1
Admission at 14.00 at the hospital. Preoperative exams, blood analysis, ECG (electrocardiogram), chest x-ray and x-rays of hip are done. Admitted at the orthopaedic ward or short stay at the hospital.
DAY 2
SURGERY DAY
Back to the ward in the afternoon or evening, after stay at the recovery room (NO intensive care). BLOOD TRANSFUSION is quite safe in Belgium (Voluntary, not granted blood donation). For a unilateral resurfacing most frequently no blood is given. For a bilateral resurfacing often a blood transfusion is done with 2-4 units of Packed Cells. Cell-saver system can be used to regain the patients own blood cells.
DAY 3
GETTING OUT OF BED AND WALKING FULL WEIGHT BEARING.
Removal of all catheters and infusions. With a unilateral procedure no bladder catheter is used. In bilateral resurfacing a continuous epidural catheter is used for comfort of pain.
DAY 4
Drain is removed from the wound. Patients with a unilateral resurfacing leave at midday to the Rehab Hotel (Surgery on Tuesday Hotel on Thursday / Surgery on Wednesday Hotel on Friday). Bilateral resurfacings stay until Sunday or Tuesday (5 to 7 days hospital). When the patient leaves the hospital, all drugs (medication) for three weeks are given with the patient (Subcutaneous heparin injections and indomethacine tablets).

Hotel Stay After Surgery

4 to 5 days for a unilateral procedure.
1 week for a bilateral procedure.
All depends of course on recovery from patient to patient.

At the Hotel/Rehab Center visits are done by Dr. De Smet, nurse and physiotherapist at regular times.
The pool of the hotel and shower can be used with special wound bandage, done by visiting nurse. Electric raisable matras and toilet raiser are available on the hotel rooms.

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